Clinical and Paraclinical Characteristics of Patients with Chronic Kidney Disease Undergoing Maintenance Hemodialysis at Kien An Hospital in 2025

Abstract

A cross-sectional study was conducted on 113 patients with end-stage chronic kidney disease undergoing maintenance hemodialysis at the Department of Artificial Kidney, Kien An Hospital, Hai Phong, from March 2025 to June 2025, aiming to describe clinical and paraclinical characteristics. Data were collected through direct interviews, anthropometric measurements, and medical record extraction. The average age of patients was 54.96 years; males accounted for 54.9%. The most common cause of chronic kidney disease was hypertension (44.2%), and the average dialysis duration was 8.2 years. Common general symptoms included anemia (90.3%), pruritus (57.5%), fatigue (58.4%), and thirst (58.4%). Common physical findings were anemia (90.3%), hypertension (83.2%), dry and hyperpigmented skin (54.0%), and peripheral edema (31.0%). Regarding laboratory findings, most patients had decreased red blood cells, hemoglobin, and hematocrit (>95%). Moderate and severe anemia accounted for 56.6% and 38.9%, respectively. Hyperglycemia was found in 88.5%, hyperuricemia in 95.6%, along with a high prevalence of dyslipidemia and electrolyte imbalances. Hemodialysis patients exhibited multiple clinical and laboratory abnormalities, notably anemia, hypertension, and metabolic disturbances. It is necessary to strengthen screening and management of comorbid conditions to improve treatment outcomes and quality of life.